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NPI 1861951790

NPI 1861951790 : FRANKLIN LLERENA THELMO JR. DO : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1861951790
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    Entity Type          |    Individual 
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    Provider Name        |    FRANKLIN LLERENA THELMO JR. DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/19/2019
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    Last Update Date     |    07/22/2024
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Provider Practice Location Address
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    Address Line         |    501 W 14TH ST FL 4 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19801-1013
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    Country              |    US
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    Telephone            |    302-623-3475
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    Fax                  |    302-623-3080
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Provider Business Mailing Address
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    Address Line         |    1200 OLD YORK RD 
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    City                 |    ABINGTON
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    State                |    PA
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    Zip                  |    19001-3788
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    Country              |    US
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    Telephone            |    215-481-2606
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    C2-0024462
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    OS021920
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    License Number State |    PA
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